Pavlik吊带治疗0~6个月婴幼儿发育性髋关节发育不良的临床效果(1)
[摘要]目的 探讨Pavlik吊带治疗0～6个月婴幼儿发育性髋关节发育不良的临床效果。方法 选择2017年1月～2018年12月本院收治的0～6个月发育性髋关节发育不良婴幼儿80例，利用随机分组的方法，将全部患儿分为两组，对照组与观察组各40例，观察组采取Pavlik吊带进行治疗，对照组实行闭合复位人类位石膏固定术，复诊周期为每2周1次，对患儿髋关节发育情况进行超声检查。吊带治疗时间持续6～20周，平均随访周期为8个月。比较与观察两组患儿在接受不同治疗后的总有效率与并发症总发生率。结果 观察组的治疗总有效率高于对照组，并发症总发生率低于对照组，差异有统计学意义(P<0.05)。结论 经Pavlik吊带治疗后，明显提高婴幼儿患儿治疗有效率，可以减少在治疗过程中婴幼儿患儿远期遗留畸形，降低并发症总发生率，值得医疗界的广泛推广与应用。
[關键词]发育性髋关节发育不良;经济压力;Pavlik吊带手段;婴幼儿发育性髋关节发育不良
[中图分类号] R726.8 [文献标识码] A [文章编号] 1674-4721(2020)3(b)-0102-03
Clinical effect of Pavlik sling in the treatment of developmental dysplasia of hip in infants aged 0-6 months
LIU Zai-xin GAO Fu-tang
Department of Pediatric Surgery， Shenzhen Bao′an District Maternal and Child Health Hospital， Guangdong Province， Shenzhen 518101， China
[Abstract] Objective To investigate the clinical effect of Pavlik sling in the treatment of developmental dysplasia of the hip in infants aged 0-6 months. Methods Eighty infants with developmental dysplasia of the hip from 0 to 6 months were selected for diagnosis and treatment in the hospital. By means of random grouping， all the infants were divided into two groups： control group and observation group， 40 cases in each group. The observation group was treated with Pavlik sling， while in the control group， closed reduction and plaster fixation in human position was performed， and the follow-up period was observed. Ultrasound examination of hip joint development was performed every two weeks. Suspension treatment lasted for six to twenty weeks. The average follow-up time ranged from eight months. The total effective rate and complication rate of the two groups after different treatment were compared and observed. Results The total effective rate of the observation group was higher than that of the control group， and the total incidence of complications was lower than that of the control group (P<0.05). Conclusion Pavlik sling treatment can significantly improve the treatment efficiency of infants reduce the long-term residual deformities of infants in the treatment process， and reduce the incidence of complications， which is worthy of wide promotion and application in the medical field.
[Key words] Developmental dysplasia of the hip; Economic stress; Pavlik sling; Developmental dysplasia of the hip in infants
发育性髋关节发育不良在婴幼儿时期颇为常见，由于我国的国情，导致婴幼儿晚期才到医院就诊的比例较高[1]。对该疾症进行干预基本在于如何尽早诊断并及时采取正确的治疗手段[2]。在初期进行治疗时，婴幼儿痛苦感较弱，临床效果较明显，并且承担的经济压力也较小[3]。伴随患儿年龄增加，治疗起来也较为困难，严重时甚至应当采取手术的治疗方法[4]。本研究主要探究在治疗0～6个月婴幼儿发育性髋关节过程中的临床结果，特选择来本院进行诊断与治疗的0～6个月发育性髋关节发育不良婴幼儿80例作为研究对象，现报道如下。, 百拇医药(刘再新 高福堂)
[關键词]发育性髋关节发育不良;经济压力;Pavlik吊带手段;婴幼儿发育性髋关节发育不良
[中图分类号] R726.8 [文献标识码] A [文章编号] 1674-4721(2020)3(b)-0102-03
Clinical effect of Pavlik sling in the treatment of developmental dysplasia of hip in infants aged 0-6 months
LIU Zai-xin GAO Fu-tang
Department of Pediatric Surgery， Shenzhen Bao′an District Maternal and Child Health Hospital， Guangdong Province， Shenzhen 518101， China
[Abstract] Objective To investigate the clinical effect of Pavlik sling in the treatment of developmental dysplasia of the hip in infants aged 0-6 months. Methods Eighty infants with developmental dysplasia of the hip from 0 to 6 months were selected for diagnosis and treatment in the hospital. By means of random grouping， all the infants were divided into two groups： control group and observation group， 40 cases in each group. The observation group was treated with Pavlik sling， while in the control group， closed reduction and plaster fixation in human position was performed， and the follow-up period was observed. Ultrasound examination of hip joint development was performed every two weeks. Suspension treatment lasted for six to twenty weeks. The average follow-up time ranged from eight months. The total effective rate and complication rate of the two groups after different treatment were compared and observed. Results The total effective rate of the observation group was higher than that of the control group， and the total incidence of complications was lower than that of the control group (P<0.05). Conclusion Pavlik sling treatment can significantly improve the treatment efficiency of infants reduce the long-term residual deformities of infants in the treatment process， and reduce the incidence of complications， which is worthy of wide promotion and application in the medical field.
[Key words] Developmental dysplasia of the hip; Economic stress; Pavlik sling; Developmental dysplasia of the hip in infants
发育性髋关节发育不良在婴幼儿时期颇为常见，由于我国的国情，导致婴幼儿晚期才到医院就诊的比例较高[1]。对该疾症进行干预基本在于如何尽早诊断并及时采取正确的治疗手段[2]。在初期进行治疗时，婴幼儿痛苦感较弱，临床效果较明显，并且承担的经济压力也较小[3]。伴随患儿年龄增加，治疗起来也较为困难，严重时甚至应当采取手术的治疗方法[4]。本研究主要探究在治疗0～6个月婴幼儿发育性髋关节过程中的临床结果，特选择来本院进行诊断与治疗的0～6个月发育性髋关节发育不良婴幼儿80例作为研究对象，现报道如下。, 百拇医药(刘再新 高福堂)
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